JOSHUA KYLE TINDAAN BANIWAS
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1255029955- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1440 S EUCLID ST, ANAHEIM, CA, 928022156
- Phone
- (714) 535-7264
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CA #51374